Application for Academic Degree Training: HQDA Centrally Funded
Part I. Applicant Information
Name
Title
Series & Grade or Pay Band
Organization/Department/Office Agency
Organization Mailing Address
Command
Career Program Name and Number (if applicable)
Work Telephone Number
Work E-Mail Address


Part II. Degree Training Information
Accredited Degree sought:
Name and address of the accredited university/college where the training will be obtained:
Expected duration of training: Start Date (mm/dd/yyyy)
End Date (mm/dd/yyyy)  
Indicate whether full or part time   Part Time     Full Time
Total cost of training, by fiscal year
Name of the planned, systematic and coordinated competitive professional development program under which requested training falls:

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